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Dr.GOPALA KRISHNAM RAJU AMBATI

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Dr.GOPALA KRISHNAM RAJU AMBATI   4.5  (1594 ratings) Diabetologist Clinic lions vggggg
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Our medical care facility offers treatments from the best doctors in the field of Diabetologist, Thyroid Specialist.We like to think that we are an extraordinary practice that is all abou......more
Our medical care facility offers treatments from the best doctors in the field of Diabetologist, Thyroid Specialist.We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
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Dr.GOPALA KRISHNAM RAJU AMBATI is known for housing experienced Diabetologists. Dr. Gopala Krishnam Raju Ambati, a well-reputed Diabetologist, practices in vggggg. Visit this medical health centre for Diabetologists recommended by 51 patients.

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Dr. Gopala Krishnam Raju Ambati

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
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6 Things That Can Possibly Help In Reducing Blood Sugar Level!

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
6 Things That Can Possibly Help In Reducing Blood Sugar Level!

People who suffer from high blood sugar can find it quite hard to keep their sugar levels in check. While the common practice is to maintain a low carbohydrate diet that is useful on the whole, there are other alternative diet options as well. The food items mentioned below either help by lowering sugar level or by increasing insulin sensitivity.

Items to include in your diet

  1. Starch: One of the items that help lower sugar levels is resistant starch. Starches are long chains of glucose and are found in food items such as bananas, potatoes, oats and various others. There are a few varieties that pass through digestion unchanged and are not absorbed as glucose in the blood. They are known as resistant starch. This type of starch is also known to increase insulin sensitivity significantly. They help in transfering glucose from the bloodstream into cells thus lowering sugar level and offering energy to the individual after meals. It is advised to not consume potatoes, but take a resistant starch supplement since potatoes contain digestible carbohydrates that increase sugar level.
  2. Ceylon Cinnamon: This is another great ancient remedy that has many compounds that prevent sugar from entering the bloodstream. It also enhances insulin sensitivity. Other great alternatives include cashews and almonds. These dry fruits are rich in Magnesium which is a mineral that ensures blood sugar regulation.
  3. Fenugreek: A powerful herb that is also a good source of soluble fiber. It has several compounds that are known to improve blood sugar control.
  4. Shirataki noodles: They are very low in carbohydrates and high in fiber. Keeping your carbohydrate consumption low is very important for diabetes management. So, these Japanese noodles help in doing so. Since they contain mostly glucomannan, an indigestible fiber, Shirataki noodles help in reducing blood sugar levels after meals while improving other metabolic health factors in diabetics.
  5. Dark Chocolate: Another good option is cocoa in dark chocolate. The cocoa comes from the cocoa plant and contains flavanols. Cocoa is known to improve insulin resistance and overall blood sugar regulation. However, dark chocolate does contain a little sugar so you would want to go in for 85% cocoa or more. Treat this item as a cheat item for those days when you need to cheat with your diet since this has a neutral effect. Switching to dark chocolate immediately is best for those who are addicted to chocolate. It will serve as a neutral item at worst and will help with blood sugar regulation at best.
  6. Apple cider vinegar: Another beneficial item to add to your diet is apple cider vinegar. It is an ancient folk remedy that is known to increase glucose metabolism by increasing the sugar uptake from blood into cells.

These items are known to be very helpful for lowering blood sugar levels and keeping it in check. It is advised to consult your doctor and seek his approval before you add any of these items to your regular diet.

1 person found this helpful

How Diabetes and Depression Correlated?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How Diabetes and Depression Correlated?

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How Diabetes and Depression Correlated?                    
There are myriad ways in which diabetes affects depression and vice versa.

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment: Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping Yourself.

If you suspect you might have depression, take control of your health by:

  • Going to a doctor or other health professional
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Very particular about medicines prescribed for Diabetes
  • Eating healthily and including a wide variety of nutritious foods
  • Achieving and maintaining healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels. If you wish to discuss about any specific problem, you can ask a free question.
2923 people found this helpful

High BP & Diabetes - Are They Related?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
High BP & Diabetes - Are They Related?

What is High Blood Pressure?

High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.

What is Diabetes?

Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.

The Connect-

According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.

In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.

Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.

2998 people found this helpful

Diabetes - 4 Types Of Insulin Available!

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Diabetes - 4 Types Of Insulin Available!

What is insulin therapy?
Insulin is a hormone that is responsible for keeping the level of sugar in the blood under control. It is the primary therapy used for the treatment of any type of diabetes. The dependence on insulin depends on the balance between the actual production of insulin in the body and the resistance of the body cells to the insulin produced. People, who suffer from diabetes type 1, need insulin injections lifelong. The requirement for insulin therapy in people suffering from type 2 diabetes solely depends upon the declining function of the beta-cells over time.

What are the types of insulin available in the market?
The various types of insulin available in the market are:

  1. Rapid acting insulin: The onset of action in this type of insulin is rapid and it lasts for a short duration, about two hours.
  2. Short acting or regular insulin: The onset of action is moderate, and it starts acting within half an hour, and the duration of action ranges from 3 to 6 hours.
  3. Intermediate acting insulin: It takes about 2 to 4 hours for the onset of action of this type of insulin and the effect can remain for about 18 hours.
  4. Long acting insulin:  The duration of action of this type of insulin can last up to about an entire day.

How is it taken?
Insulin injections can be self-injected using a syringe, a needle, a cartridge system, or a pre-filled pen system. Devices for inhaling insulin, quick-acting insulin and insulin pumps are also available at medical stores and pharmacies. Insulin is injected subcutaneously, into your muscles. Try to ensure that you inject around the same area every time, but choose a different spot to ensure less scarring. The best areas to inject insulin are thighs, buttocks, arms and belly. If you take regular insulin, it is advised to take it half an hour before a meal.

What are the possible side effects?

  1. Low blood sugar level
  2. Scars and lumps from extensive usage of insulin injection
  3. Rashes can be found in the area the insulin is injected or sometimes, all over the body
  4. Weight gain when you start using insulin initially

If you wish to discuss about any specific problem, you can ask a free question.

2951 people found this helpful

How Gestational Diabetes Can Be Treated?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How Gestational Diabetes Can Be Treated?

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan. If you wish to discuss about any specific problem, you can ask a free question.

2656 people found this helpful

Feeling Tired Even After a Lot of Sleep - Did You Know Why?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Feeling Tired Even After a Lot of Sleep - Did You Know Why?

One of the most common scenarios that most people are faced with is a constant feeling of tiredness and lethargy even after you have had a full night’s sleep. The questions popping in your mind right about now is, why is this happening? Why does the lethargic feeling fail to leave you even after you had a proper 8 hours sleep? Why is your sleep getting into the way of your professional productivity? Though there are a number of different explanations to this constant feeling of cloudiness throughout the day, hence, experts in the field have listed down some of the factors that prove to be the major causes behind this condition.

Some of these most common and powerful reasons are listed below.

  1. Thyroid: The moment your thyroid levels start soaring, you will automatically find it difficult to keep up with the pace that your day to day life demands. The thyroid gland, which is placed right in front of the throat, is the size of the knot on your tie. This gland produces a hormone. When the activity of the thyroid gland, it starts secreting more and more of the hormones, leading to a condition termed as hyperthyroidism. The same gland when underperforms, it starts holding back the hormone secretion, leading to a condition called hypothyroidism. In both the cases the metabolism of the body slows down, leading to an increased level of tiredness even after proper sleep.
  2. Anaemia: Another leading cause of that nagging feeling of sleepiness and draining energy is Anaemia. Anaemia causes a certain amount of fatigue in an individual. The main cause influencing this situation is the lack of presence of enough red blood cells. The main function of these red blood cells is to transfer oxygen constantly from the long to the cells and tissues. A break in this process leads to you feeling weak and also short of breath.
  3. Diabetes: Diabetes poses a serious threat to the all over functioning of your body. It is termed as the slow killer and constantly works towards undermining the level of energy a normal individual can hold. This adversely affects your day to day life, including your performance at work and also performing your daily chores at home. The glucose in your body serves as a fuel for your daily activities. Since patients with type 2 diabetes cannot use this rising glucose in their blood properly, they end up being more tired than they ought to be.

Other conditions that lead to the same draining feeling and constant tiredness even after lot of sleep are depression, rheumatoid arthritis, chronic fatigue, sleep apnea, sleep inertia, periodic limb movement disorder, constant exposure to computer screens, tv screen, monitors, etc. There are a whole bag of other factors that lead to the constant feeling of tiredness that you are feeling. Before the end of the day, you are drained, your productivity drops and you cannot wait to hit the bed, and the same is the condition when you get out of bed. Consulting a general physician will not only help you put a finger on the cause, but also cure it with proper treatment.

2742 people found this helpful

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad

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Diabetes Proves Deadly for Smokers

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Diabetes Proves Deadly for Smokers

While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).

Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.

To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.

" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.

For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"

18 people found this helpful

Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

I am male 54 years of age, weight 61 kg/height-5'8" My fasting blood sugar level varies between 145-220 since last 2 years. I am not taking any medicine except patanjali Madhunashini 2 tabs twice a day. I am not feeling any specific problem like frequent urinating, weight gain etc. My father was also a diabetic patient. My diet is normal and I am non-veg. My physical activity is very less. I walk approx. 2-3 km few times a week Please advice some medicine and diet plan so that I could control my sugar level. Thanking You.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I am male 54 years of age, weight 61 kg/height-5'8" My fasting blood sugar level varies between 145-220 since last 2 ...
The benefits of regular physical activity are: Lower blood glucose levels Better response to insulin Strengthened heart activity Improved blood circulation Lowered cholesterol Improved physical fitness Feeling better People of all ages should include a minimum of 30 minutes of physical activity of moderate intensity on most, if not all, days of the week. A regimen of physical activity must be planned judiciously when diabetes complications are present. How to get started Look for an activity that you enjoy. Make sure it's right for your current level of fitness. Walking may be a good way to get started. It is convenient and low in cost. All you need to get started are cotton socks and a pair of supportive shoes that fit well. What will a complete exercise plan look like Flexibility - stretch before you exercise. Resistance Training - this includes lifting light weights to build calorie-burning muscle mass. Aerobic activity - walking, dancing, swimming or biking to burn calories and reduce heart risk. How to keep going Make walking or your other exercise activities part of your daily routine. Finding someone to walk or exercise with can help make your workout more enjoyable. When exercise is enjoyable and social, it is its own reward. This may help you stay motivated. Know that everyone's exercise plans lapse occasionally. Instead of being discouraged, use this time as an opportunity of review your goals. Try to recommit as soon as possible to an enjoyable and healthy level of activity. Calories Burned During Common Activies Activity Cal/Min Cal/Hr Housecleaning, Child care, Bowling, Walking {<3 mph} 3-4 180-240 Walking {4mph}, Golf {pulling cart}, Cycling {6mph}, dancing {general}, Table Tennis 4-5 240-300 Cycling {8mph}, Tennis {doulbes}, Golf {carring clubs}, Aerobics {lowimpact}, Badminton {general}, Gardening 5-6 300-360 Cycling {10mph}, Dancing {fast}, Swimming {light}, Basketball {general} 6-7 360-420 Cycling {11mph}, Water Skiing, Tennis {singles}, Basketball {general} 7-8 420-480 Jogging {5mph}, Cycling {12mph}, Aerobics {high impact}, Football {general}, Walking {upstairs}, Swimming {moderate} 8-10 480-600 Running {5 1/2mph}, Cycling {13mph}, Rope jumping 10-11 600-660 Running {6mph}, Karate, Judo, Swimming {vigorous} 11 or more 660 or more Remember to check with your healthcare team before beginning an exercise routine, {1 mile=1.60934 km} Staying safe Check with your doctor before beginning to exercise. Start slowly. Five or ten minutes a day is a good beginning if you have been very inactive. Wear comfortable, supportive shoes and cotton socks. Check your feet after exercise for any signs of poor fit or injury. Carry a diabetes identification card. Check your blood sugar before and after exercise. This is especially important for anyone who takes insulin, a sulfonylurea or a meglitinide. These medicines may create risk for low blood sugar. Carry something to eat that contains glucose. Use it to prevent or treat low blood sugar if needed. Stretch and warm up at the beginning of your activity. This helps prevent injuries. Drink more liquids that contain no calories, like water, when exercising. If you have leg or chest pains during exercise, stop exercising and call your doctor. Avoid exercising if your fasting blood sugar is above 300 mg/dL (16.7 mmol/L) or under 70 mg/dL (3.9 mmol/L).
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Dr. I have hyperthyroidism for last 5 years I am taking regular treatment for that and my thyroid is in control but still I have problem with night sleep. That means I do not get sufficient sleep at night. Regards,

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Healthy sleep habits can make a big difference in your quality of life. Having healthy sleep habits is often referred to as having good sleep hygiene. Try to keep the following sleep practices on a consistent basis: Stick to a sleep schedule of the same bedtime and wake up time, even on the weekends. This helps to regulate your body's clock and could help you fall asleep and stay asleep for the night. Practice a relaxing bedtime ritual. A relaxing, routine activity right before bedtime conducted away from bright lights helps separate your sleep time from activities that can cause excitement, stress or anxiety which can make it more difficult to fall asleep, get sound and deep sleep or remain asleep. If you have trouble sleeping, avoid naps, especially in the afternoon. Power napping may help you get through the day, but if you find that you can't fall asleep at bedtime, eliminating even short catnaps may help. Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity. Exercise at any time of day, but not at the expense of your sleep. Evaluate your room. Design your sleep environment to establish the conditions you need for sleep. Your bedroom should be cool – between 60 and 67 degrees. Your bedroom should also be free from any noise that can disturb your sleep. Finally, your bedroom should be free from any light. Check your room for noises or other distractions. This includes a bed partner's sleep disruptions such as snoring. Consider using blackout curtains, eye shades, ear plugs, "white noise" machines, humidifiers, fans and other devices. Sleep on a comfortable mattress and pillows. Make sure your mattress is comfortable and supportive. The one you have been using for years may have exceeded its life expectancy – about 9 or 10 years for most good quality mattresses. Have comfortable pillows and make the room attractive and inviting for sleep but also free of allergens that might affect you and objects that might cause you to slip or fall if you have to get up.
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How should I change my diet to reduce high uric acid level in blood without taking medicine.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How should I change my diet to reduce high uric acid level in blood without taking medicine.
Lower fat intake as excess fat reduces normal excretion of uric acid Liberal fluid intake to keep the urine dilute Restriction or elimination of alcohol What to avoid Shell fishes, red meat, mince meat, meat extracts, organ meats, fishes (sardine, roe, makeral). Whole pulses (masur, rajmah, chana, chole, etc.). Other dals are allowed Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple Diet rules Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable Remove the salt shaker from the table Avoid salted nuts/ biscuits, papads, pickles, chutneys Avoid excess consumption of processed and preserved foods; eg. Bakery products Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance Recommended foods Fresh cherries, strawberries, blueberries and other red-blue berries Bananas Celery Tomatoes Vegetables including cabbage and parsley Foods high in bromelain (pineapple) Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) Low-fat dairy products Complex carbohydrates (breads, cereals) Chocolate, cocoa Coffee, tea Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood. Therefore, rather than attempting to find foods that are free of purines and uric acid, it's important to know how to increase the body's alkalinity, which naturally reduces the body's acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.
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Lack of Knowledge

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Lack of Knowledge

Mixup also reveals knowledge gaps in handling insulin

An order was written for a hospitalized patient for 90 units of insulin glargine (lantus). The hospital normally used insulin pens, but the pens can only dial up to a dose of 80 units. Therefore, the pharmacy dispensed a 10 ml vial of lantus. The nurse caring for the patient was inexperienced and had only used pens before, so she was unfamiliar with drawing up doses of insulin into a syringe. When the nurse looked at the vial label, it may have been turned slightly so that all she saw was 100 units with a 10 directly under it. This is a different label presentation than on more familiar lantus vials (figure 1, left).

The confusing vial label represents a change that was made last year. The pictured vial has a march 2019 expiration date. The nurse assumed the concentration was 100 units/10 ml and then proceeded to draw up 9 ml into a 10 ml syringe and injected 900 units of lantus subcutaneously as a single 9 ml dose. (the maximum volume for a subcutaneous injection is generally 2 ml.) the results could have been catastrophic. But within a couple of hours, the nurse realized her mistake and reported it. The patient was immediately given a dextrose infusion and, fortunately, did not suffer harm.

(familiar lantus label on the left and confusing lantus label [more recent] on the right.)

In addition to the nurse's lack of knowledge about insulin administration, safe dosing, and the maximum volume per subcutaneous injection, one of the contributing factors of this event was the formatting of the lantus vial label. The 10 is directly beneath the 100 units. this contrasts with the formatting of the lantus box, which has  one 10 ml vial, so the 10 is not directly beneath the 100. Other obvious contributing factors include unfamiliarity with drawing up insulin from a vial, not understanding the meaning of a u-100 concentration, and not using a u-100 insulin syringe, which was available on the patient care unit.

All this notwithstanding, it must be said that the best way to avoid such errors is for pharmacy to prepare, label, and dispense patient-specific basal insulin doses. Also, it's surprising how many insulin-related errors reported to us reveal knowledge gaps in handling insulin. Thus, it is critical to educate staff as necessary regarding injection technique and how to measure doses with insulin syringes. We notified sanofi and the u. S. Food and drug administration (fda) about the labeling issue that contributed to a misunderstanding of the concentration.

Dear doctor, mera insulin ke bare mein jana he. Normal amount status insulin kitna hota he. Aur kam zada kaisa pata karun.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Dear doctor, mera insulin ke bare mein jana he. Normal amount status insulin kitna hota he. Aur kam zada kaisa pata k...
Insulin is hormone which sends glucose into cell dosage kam zada all depends on patient and your treating doctor.
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I have a uric acid problem .it was 7.what should do for prevention of this problem. What should I eat.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I have a uric acid problem .it was 7.what should do for prevention of this problem. What should I eat.
Lower fat intake as excess fat reduces normal excretion of uric acid Liberal fluid intake to keep the urine dilute Restriction or elimination of alcohol What to avoid Shell fishes, red meat, mince meat, meat extracts, organ meats, fishes (sardine, roe, makeral). Whole pulses (masur, rajmah, chana, chole, etc.). Other dals are allowed Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple Diet rules Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable Remove the salt shaker from the table Avoid salted nuts/ biscuits, papads, pickles, chutneys Avoid excess consumption of processed and preserved foods; eg. Bakery products Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance Recommended foods Fresh cherries, strawberries, blueberries and other red-blue berries Bananas Celery Tomatoes Vegetables including cabbage and parsley Foods high in bromelain (pineapple) Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) Low-fat dairy products Complex carbohydrates (breads, cereals) Chocolate, cocoa Coffee, tea Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood. Therefore, rather than attempting to find foods that are free of purines and uric acid, it's important to know how to increase the body's alkalinity, which naturally reduces the body's acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.
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I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidis...
U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)
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How to reduce uric acid, my uric acid level is 7.5.I am taking febutaz 40 one tablet regularly but still bone joint pain is not reduce, what can I do now.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How to reduce uric acid, my uric acid level is 7.5.I am taking febutaz 40 one tablet regularly but still bone joint p...
Lower fat intake as excess fat reduces normal excretion of uric acid Liberal fluid intake to keep the urine dilute Restriction or elimination of alcohol What to avoid Shell fishes, red meat, mince meat, meat extracts, organ meats, fishes (sardine, roe, makeral). Whole pulses (masur, rajmah, chana, chole, etc.). Other dals are allowed Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple Diet rules Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable Remove the salt shaker from the table Avoid salted nuts/ biscuits, papads, pickles, chutneys Avoid excess consumption of processed and preserved foods; eg. Bakery products Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance Recommended foods Fresh cherries, strawberries, blueberries and other red-blue berries Bananas Celery Tomatoes Vegetables including cabbage and parsley Foods high in bromelain (pineapple) Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) Low-fat dairy products Complex carbohydrates (breads, cereals) Chocolate, cocoa Coffee, tea Although Purines (organic compounds, which create uric acid breakdown in the body) are found in vegetable sources, they don't cause the same amount of uric acid buildup in the body that meat sources do. In fact, fresh fruits and vegetables reduce acid levels in the body and it is often advised to avoid red meats, organ meats and highly processed foods. Fresh fruits and vegetables are encouraged so the patient can increase alkalinity in the blood. Therefore, rather than attempting to find foods that are free of purines and uric acid, it's important to know how to increase the body's alkalinity, which naturally reduces the body's acidity. Fresh, non-processed foods, such as fruits and vegetables, are the way to go.
1 person found this helpful
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Sometimes my hand becomes double in size and that time I feel pain in my hand. I visit a doctor and he told me that when you eat oily, fast food and pulses your uric acid has increase. So tell me a way to completely solve this problem.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Sometimes my hand becomes double in size and that time I feel pain in my hand. I visit a doctor and he told me that w...
uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose a little history selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin c. Vitamin c may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin c supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu here's a look at what you might eat during a typical day on a gout diet: breakfast whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries coffee water lunch roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard mixed green salad with balsamic vinegar and olive oil dressing skim or low-fat milk water afternoon snack 1 cup fresh cherries water dinner roasted salmon (3-4 ounces) roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper water low-fat yogurt 1 cup fresh melon caffeine-free beverage, such as herbal tea.
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Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is also a diabetes patient so I just wanted to know the diet and precautions for him please suggest me as soon as possible.

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Hi im 21 years old and my grandfather is 81 years old he had first heart stroke 2 months before in sleep and he is al...
The moment we get diagnosed with diabetes, our minds cringe in fear by the thought of all the restraint on our life, especially diet, which would be imposed on us for a lifetime, taking away the joy from celebrations and fun eat out sessions etc. Diet management is of utmost importance in diabetes not only to control blood sugar levels but also to keep other risks such as body weight and heart risk factors at bay. People with HbA1c levels mild to moderately elevated (<7.5%) at diagnosis, may be advised to take a diet and lifestyle modification trial before they are put on any drugs and some of these people will be able to control their diabetes/pre-diabetes for a significant amount of time without drugs. Even for people on drugs or insulin diet and lifestyle management is equally important. Therefore, dietary modifications to manage risk factors for CVD are very important in diabetics. These modifications include controlling the intake of salt and ‘bad’ fats in your diet, and the recommended levels of intake are lower than those in general population Diabetics in general are often advised even by their doctors and dieticians, some times, to consume ‘low fat’ diet to manage their heart risk. But In India, where average intake of carbs is much higher than recommended intake of fat, for most people, such an advice is not only erroneous, it is harmful! (Read: Indian diet: ‘pro’s and ‘con’s, to know more) Instead what is needed is to replace the ‘bad’ fats, present in high quantities in vanaspati (found in snack items and restaurant/ fast food meals etc.), full cream milk, butter, ghee and red meat (but not mutton: read more), with vegetable oils (such as olive, canola, rice bran etc. But not coconut and palm oil)
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If diabetic have good control on sugar levels and good control on cholesterol then also he will get heart problems. There is another doubt if I drink daily 4 pegs alcohol how much danger is to me?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
If diabetic have good control on sugar levels and good control on cholesterol then also he will get heart problems. T...
Yes 4pegs danger - increase cholesterol, increased sugar levels, damaging pancreas, heart attack and stroke.
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